Is the narrative of ritual sexual abuse based on evidence or conspiracy? This clinical article addresses the polarized debate surrounding ritual sexual abuse against children, emphasizing the need for evidence-based practices in both treatment and scientific discourse. The author critically examines expert literature, public investigation reports, and media coverage, revealing a conspiracy narrative prevalent in certain psychotraumatology circles and social media. This narrative alleges a vast network of perpetrators inflicting severe violence on children in ritual contexts. The uncritical acceptance of concepts like "mind control" has led to mistreatment of patients and a fundamental distrust of their accounts. This approach risks further harm to vulnerable patients, contradicting basic principles of medical ethics. The article advocates for a balanced, evidence-based approach to ensure the well-being of those affected by trauma and to avoid perpetuating harmful and unfounded beliefs.